Florida YIG: Chapter Intent to Participate Form
Planning on participating this year? Please let us know some information about you and your group, so that we can follow-up with you.

Please submit one entry for EACH High School or Middle School Chapter, no later than the first Wednesday in October.
Program Year *
Please select the current Program Year
Chapter Information
High School or Middle School Chapter *
Who will your Chapter serve?
Delegation Name *
If your delegation name isn't listed, please contact registration@floridayig.net
YMCA or School Based? *
Is your Chapter YMCA or School Based?
Estimated Number of Members *
How many registered members do you think your Chapter will have during this Program Year?
Your answer
Estimated Number of FDC Attendees *
How many members (Sr. YIG) do you estimate this Chapter will send to Fall Delegate Convention (FDC) this Program Year? (If middle school only, please list N/A)
Your answer
Estimated Number of State Assembly Attendees *
How many members (Sr. YIG) do you estimate this Chapter will send to State Assembly this Program Year? (If middle school only, please list N/A)
Your answer
Estimated Number of Jr. Assembly Attendees *
How many members (Jr. YIG) do you estimate this Chapter will send to Jr. Assembly this Program Year? (If high school only, please list N/A)
Your answer
Chapter's Host YMCA/School/Organization
Name of Host YMCA/School/Orgainzation *
Name of the YMCA/School/Organization that hosts your program.
Your answer
YMCA/School/Organization Address *
Street Address
Your answer
YMCA/School/Organization Address *
City
Your answer
YMCA/School/Organization Address *
Zip Code
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Florida YMCA Youth In Government.